Medication
CSMC Policy
Core Measures
People
6 South Specific
100

Patient Name

MRN

Date of Birth

What are patient identifiers

100

The acronym SKATE is used for this code

What is Code RED

100

Provided to patients and families prior to discharge

What are discharge instructions

100

Dr. Linda Burnes Bolton

Who is the Chief Nursing Executive/CNO

100

Name of 3 different unit committees

UPC , CLABSI, CP/RN, HAPU, Heart Failure, IPE , MD/RN, RRT/Code Blue , Safety, Social/Staff Retention , Swan Ganz

200

Must be documented in 60 minutes of administration

What is pain reassessment

200

Notification time that One Legacy needs to be notified

What is 1 hour

200

Time it takes for Sani-Wipe cloths to dry for effective cleaning of shared equipment

What is two minutes wet time

200

Executive Director of Critical Care Services

Who is Todd Griner
200

6 South’s management assistant   

Who is Angela Lee

300

White/Blue Bin 

What is IV medication disposal bin

300

House wide goal that patient transfer should be completed 

What is less than 45 minutes 

300

Frequency CP’s and RN’s need to collaborate during the shift to ensure than all patient needs are being met?

What is every 4 hours

300

Pharmacy Supervisor for 6 South

Who is Celica ManShan

300

6 south safe patient handling champions

Who are Amabelle and Kristoffer Alberto

400

Must be administered and documented within 30 minutes of checking

What is lispro insulin

400

New hospital initiative form to be used for when patients have opioid overdose

What is Post Narcan Rescue Tool

400

3 different ways to prevent a CLABSI

What is Hand Hygiene, CHG Bath daily, Aseptic Dressing change, Scrub the Hub/Curos Caps, Line Necessity review , Cap/Tube change

400

Medical Director of 6 South

Who is Dr. Michele Hamilton

400

Unit improvement projects are currently happening on 6 South

What are Bedside Chat, CLABSI reduction/elimination, My Chart Bedside/IPADS , CHF Teach back tool, Ambulating Swan Ganz Patients , IPE – Quiet Hours

500

All controlled substance use (removal, administration, waste, returns, loss) must be documented here

Must be checked and signed off every shift

What is the CMDR (Narc Book)

500

3 reasons why you may do a MIDAS

What is an RRT, Code Blue, Code Brain, Behavioral/Communication Issue, Dr. Strong, Fall Etc…. 

500

-Pain Control - Room Clean - Quiet at Night - Communication about medications -Discharge Information -Responsiveness of staff - Communication with Nurses 

What are HCAHPS metrics

500

Tom Priselac

Who is the CEO/president of Cedars-Sinai

500

Nasal NSSA + MRSA Screen + CHG Bath

What is the MCS/Heart Transplant Bundle

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